Key result
Speckle tracking analysis detected abnormal left ventricular myocardial longitudinal deformation in a patient with Down's syndrome and tetralogy of Fallot before the appearance of left ventricular noncompaction.
Case Report (n=1)
No
This case highlights the potential of speckle tracking echocardiography to detect early functional abnormalities before the morphological appearance of left ventricular noncompaction in patients with congenital heart disease.
Warrants thrombus vigilance in Down syndrome with tetralogy of Fallot; leaves open speckle tracking role in early LVNC detection.
We report a unique case of left ventricular noncompaction (LVNC), tetralogy of Fallot, and multiples biventricular thrombi in a Down's syndrome. Of interest, speckle tracking analysis detected an abnormal LV myocardial longitudinal deformation, despite the normal ejection fraction and absence of NC at the baseline evaluation.
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Salvo et al. (2015) conducted a case report in Tetralogy of Fallot, Down's syndrome, Left ventricular noncompaction (n=1). Speckle tracking echocardiography was evaluated. Speckle tracking analysis detected abnormal left ventricular myocardial longitudinal deformation in a patient with Down's syndrome and tetralogy of Fallot before the appearance of left ventricular noncompaction.
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